Patient Preference and Adherence (Dec 2022)

Determinants of Adherence to Antihypertensives Among Elderly: A Multifactorial Concern

  • Sheilini M,
  • Hande HM,
  • Devi ES,
  • Kamath A,
  • Nayak BS,
  • Morisky DE,
  • George A

Journal volume & issue
Vol. Volume 16
pp. 3185 – 3193

Abstract

Read online

Melita Sheilini,1 H Manjunatha Hande,2 Elsa Sanatombi Devi,1 Asha Kamath,3 Baby S Nayak,4 Donald E Morisky,5 Anice George4 1Department of Medical Surgical Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India; 2Department of Medicine, Kasturba Hospital, Manipal Academy of Higher Education, Manipal, Karnataka, India; 3Department of Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India; 4Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India; 5Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USACorrespondence: Anice George, Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Udupi District, Manipal, Karnataka, India, 576104, Tel +919632094766, Fax +0091-08202922572, Email [email protected]: The aim of the study was to assess the predictors of adherence among elderly on antihypertensives and to examine the difference in adherence among males and females.Patients and Methods: Cross-sectional survey design was adopted for the study. The data were collected from 800 patients of age 60 years and above using demographic proforma, clinical proforma and Morisky Medication Adherence Scale (MMAS-8) with due approval from the institutional ethical clearance committee and written informed consent from the participants.Results: The findings revealed no significant difference in the non-adherence rates among males and females. Number of medications was identified as the major predictor of adherence.Conclusion: Awareness of factors influencing medication adherence is crucial for health professionals to provide appropriate advice for patients to maintain quality health. The findings of the study highlight the importance of nurses’ role towards imparting knowledge on hypertension and emphasizing on the importance of adherence to antihypertensives among elderly.Keywords: hypertension, aged, adherence, medication, gender, medication nonadherence, drug adherence, elderly, antihypertensive agents

Keywords